Provider Demographics
NPI:1235451113
Name:STIEGLITZ, LISA MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:MARIE
Last Name:STIEGLITZ
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 VETERANS MEMORIAL HWY STE 2
Mailing Address - Street 2:
Mailing Address - City:RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-7680
Mailing Address - Country:US
Mailing Address - Phone:631-615-2721
Mailing Address - Fax:631-615-2765
Practice Address - Street 1:51 MATINECOCK AVE
Practice Address - Street 2:
Practice Address - City:EAST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11730-2621
Practice Address - Country:US
Practice Address - Phone:631-707-5188
Practice Address - Fax:631-615-2765
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051511183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist